Questions, Correct Answers & Detailed Rationales |
Nursing Fundamentals, Patient Safety, Assessment &
Clinical Skills | Complete Exam Prep
1. A nurse is discussing restorative health care with a newly licensed nurse. Which of the following
examples should the nurse include in the teaching? (Select all that apply.)
A) Home health care
B) Rehabilitation facilities
C) Diagnostic centers
D) Skilled nursing facilities
E) Oncology centers
Answer: A
Rationale: Restorative care focuses on restoring a client's health after illness or injury, including home
health, rehabilitation, and skilled nursing facilities. Diagnostic and oncology centers are not restorative
care.
2. A nurse is explaining the various types of health care coverage clients might have to a group of
nursing students. Which of the following health care financing mechanisms are federally funded?
(Select all that apply.)
A) Preferred provider organization (PPO)
B) Medicare
C) Long-term care insurance
D) Exclusive provider organization (EPO)
E) Medicaid
Answer: B
,Rationale: Medicare and Medicaid are federally funded programs. PPOs, EPOs, and long-term care
insurance are private or employer-sponsored.
3. A nurse manager is developing strategies to care for the increasing number of clients who have
obesity. Which of the following actions should the nurse include as a primary health care strategy?
A) Collaborating with providers to perform obesity screenings during routine office visits
B) Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity
C) Providing specialized intraoperative training regarding surgical treatments for obesity
D) Educating acute care nurses on postoperative complications related to obesity
Answer: A
Rationale: Primary health care focuses on prevention and early detection. Screening for obesity during
routine visits is a primary prevention strategy.
4. A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the
following tasks should the nurse identify as the responsibility of state licensing boards?
A) Monitoring evidence-based practice for clients who have a specific diagnosis
B) Ensuring that health care providers comply with regulations
C) Setting quality standards for accreditation of health care facilities
D) Determining if medications are safe for administration to clients
Answer: B
Rationale: State licensing boards are responsible for ensuring that health care providers comply with
regulations and practice within their scope.
5. A nurse is explaining the various levels of health care services to a group of newly licensed
nurses. Which of the following examples of care or care settings should the nurse classify as
tertiary care? (Select all that apply.)
A) Intensive care unit
B) Oncology treatment center
,C) Burn center
D) Cardiac rehabilitation
E) Home health care
Answer: A
Rationale: Tertiary care is specialized, highly technical care, such as intensive care, oncology treatment
centers, and burn centers. Cardiac rehab and home health are restorative.
6. A nurse is caring for a group of clients on a medical-surgical unit. For which of the following
client care needs should the nurse initiate a referral for a social worker? (Select all that apply.)
A) A client who has terminal cancer requests hospice care in her home.
B) A client asks about community resources available for older adults.
C) A client states that she wants her child baptized before surgery.
D) A client requests an electric wheelchair for use after discharge.
E) A client states that he does not understand how to use a nebulizer.
Answer: A
Rationale: Social workers assist with discharge planning, community resources, and equipment needs.
Spiritual needs are for chaplains; teaching is for nurses.
7. A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use
adaptive devices. The nurse caring for the client should initiate a referral to which of the following
members of the interprofessional care team?
A) Social worker
B) Certified nursing assistant
C) Registered dietitian
D) Occupational therapist
Answer: D
Rationale: Occupational therapists help clients with activities of daily living (ADLs) and adaptive devices
for self-care.
, 8. A client who is postoperative following knee arthroplasty is concerned about the adverse effects
of the medication he is receiving for pain management. Which of the following members of the
interprofessional care team can assist the client in understanding the medication's effects? (Select
all that apply.)
A) Provider
B) Certified nursing assistant
C) Pharmacist
D) Registered nurse
E) Respiratory therapist
Answer: A
Rationale: The provider, pharmacist, and registered nurse can educate the client about medication
effects. CNAs and respiratory therapists do not.
9. A client who has had a cerebrovascular accident has persistent problems with dysphagia
(difficulty swallowing). The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team?
A) Social worker
B) Certified nursing assistant
C) Occupational therapist
D) Speech-language pathologist
Answer: D
Rationale: Speech-language pathologists specialize in evaluating and treating swallowing disorders
(dysphagia).
10. A nurse is acquainting a group of newly licensed nurses with the roles of the various members
of the health care team they will encounter on a medical-surgical unit. When she gives examples
of the types of tasks certified nursing assistants (CNAs) may perform, which of the following client
activities should she include? (Select all that apply.)